Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

oral boards > esophageal CA staging > Flashcards

esophageal CA staging Flashcards

1
Q

esoph CA

Tis

depth of invasion

A

confined to epithelium
i.e. NOT invading the basement membrane

= definition of high-grade dysplasia (HGD)

https://drive.google.com/file/d/1HC1jAdUxITpbG7PY_yVDqhRF47PcnnvF/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

esoph CA

T1a

depth of invasion

A

mucosa:
lamina propria OR muscularis mucosae

into but not through

https://drive.google.com/file/d/1HC1jAdUxITpbG7PY_yVDqhRF47PcnnvF/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

esoph CA

T1b

depth of invasion

A

submucosa

into but not through

broken down into SM1/2/3 for superfic/middle/deep 1/3 of submucosa respectively
https://drive.google.com/file/d/1HC1jAdUxITpbG7PY_yVDqhRF47PcnnvF/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

esoph CA

T2

depth of invasion

A

muscularis propria

into but not through

https://drive.google.com/file/d/1HC1jAdUxITpbG7PY_yVDqhRF47PcnnvF/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

esoph CA

T3

depth of invasion

A

adventitia

i.e. has escaped the esophagus

https://drive.google.com/file/d/1HC1jAdUxITpbG7PY_yVDqhRF47PcnnvF/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

esoph CA

T4

depth of invasion

A

adjacent structures

subcategorized into T4a & T4b by resectability

https://drive.google.com/file/d/1HC1jAdUxITpbG7PY_yVDqhRF47PcnnvF/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

esoph CA

T4a

depth of invasion

A

resectable structures:
pleura
pericardium
azygos vein
diaphragm
peritoneum

https://drive.google.com/file/d/1HC1jAdUxITpbG7PY_yVDqhRF47PcnnvF/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

esoph CA

T4b

depth of invasion

A

unresectable structures
all else from T4a incl:
aorta
vertebral body
trachea
adjacent visceral organs (incl liver, pancreas, lung, spleen)

https://drive.google.com/file/d/1HC1jAdUxITpbG7PY_yVDqhRF47PcnnvF/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

esoph CA

layers of the esophageal wall

starting from internal lumen moving externally

for staging;

A
  1. epithelium (mucosa)
  2. basement membrane (mucosa)
  3. lamina propria (mucosa)
  4. muscularis mucosae (mucosa)
  5. submucosa
  6. muscularis propria (incl circular & longitudinal fiber layers)
  7. [adventitia]

https://drive.google.com/file/d/1HC1jAdUxITpbG7PY_yVDqhRF47PcnnvF/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

esoph CA

N0

A

self-explanatory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

esoph CA

N1

A

1-2 regional LN+

any regional LN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

esoph CA

N2

A

3-6 regional LN+

any regional LN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

esoph CA

N3

A

7+ regional LN+

any regional LN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

esoph CA

M0

A

self-explanatory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

esoph CA

M1

A

any distant met(s)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Does adenoCA staging, SCC staging, or both incorporate location of the tumor?

A

SCC only
(L-upper/middle/lower)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

esoph CA

L-upper (for SCC)

A

cervical esophagus to lower border of azygos vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

esoph CA

L-middle (for SCC)

A

lower border of azygos vein to lower border of IPV

IPV = inferior pulmonary vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

esoph CA

L-lower (for SCC)

A

lower border of IPV to stomach, incl GEJ

IPV = inferior pulmonary vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

esoph CA

How is location defined for L-category (for SCC)?

(or for Siewert classification of GEJ CA)

A

by “epicenter”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

EGD distance (from incisors) of:
UES

A

15cm

https://drive.google.com/file/d/1HM9tm22JDxHLW5iGeVQm7r9SXZa_wyuT/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

EGD distance (from incisors) of:
sternal notch

A

20cm

https://drive.google.com/file/d/1HM9tm22JDxHLW5iGeVQm7r9SXZa_wyuT/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

EGD distance (from incisors) of:
azygos vein

A

25cm

https://drive.google.com/file/d/1HM9tm22JDxHLW5iGeVQm7r9SXZa_wyuT/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

EGD distance (from incisors) of:
IPV

A

30cm

https://drive.google.com/file/d/1HM9tm22JDxHLW5iGeVQm7r9SXZa_wyuT/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

EGD distance (from incisors) of:
LES

A

40cm

https://drive.google.com/file/d/1HM9tm22JDxHLW5iGeVQm7r9SXZa_wyuT/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

EGD distance (from incisors) of:
GEJ

A

40-42cm

https://drive.google.com/file/d/1HM9tm22JDxHLW5iGeVQm7r9SXZa_wyuT/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Siewert I

definition

A

5cm prox to GEJ
to 1cm prox to GEJ

GEJ defined as Z-line

https://drive.google.com/file/d/197a9Fj0M2bSiCo0Fh4YgqYx7tK1bEgfg/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Siewert II

definition

A

1cm prox to GEJ
to 2cm dist to GEJ

GEJ defined as Z-line

https://drive.google.com/file/d/197a9Fj0M2bSiCo0Fh4YgqYx7tK1bEgfg/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Siewert III

definition

A

2cm dist to GEJ
to 5cm dist to GEJ
tx as gastric CA

GEJ defined as Z-line

https://drive.google.com/file/d/197a9Fj0M2bSiCo0Fh4YgqYx7tK1bEgfg/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

cervical esophagus

distance/definition

A

15-20cmFI
UES : sternal notch

https://drive.google.com/file/d/1HM9tm22JDxHLW5iGeVQm7r9SXZa_wyuT/view?usp=drive_fs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

upper [thoracic] esophagus

distance/definition

A

20-25cmFI
sternal notch : azygos vein

https://drive.google.com/file/d/1HM9tm22JDxHLW5iGeVQm7r9SXZa_wyuT/view?usp=drive_fs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

middle [thoracic] esophagus

distance/definition

A

25-30cmFI
azygos vein : IPV

https://drive.google.com/file/d/1HM9tm22JDxHLW5iGeVQm7r9SXZa_wyuT/view?usp=drive_fs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

distal [thoracic] esophagus

distance/definition

A

30-40cmFI
IPV : LES

https://drive.google.com/file/d/1HM9tm22JDxHLW5iGeVQm7r9SXZa_wyuT/view?usp=drive_fs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

esoph CA

SCC cI

A

T1 N0-1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

esoph CA

adenoCA cI

A

T1 N0 only

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

esoph CA

difference between SCC & adenoCA cI

A

both include T1 N0
only SCC also incl T1 N1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

esoph CA

SCC cII

A

T2 N0-1
T3 N0

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

esoph CA

Are there substages of SCC cII?

A

NO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

esoph CA

Are there substages of adenoCA cII?

A

YES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

esoph CA

Are there substages of cIII for either adenoCA or SCC?

A

NO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

esoph CA

adenoCA cIIA

A

T1 N1 only

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

esoph CA

adenoCA cIIB

A

T2 N0 only

note that T2 is worse than N1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

esoph CA

adenoCA cIII

A

T3-4a N0
T2-4a N1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

esoph CA

adenoCA cIVA

A

T4b
N2
N3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

esoph CA

SCC cIII

A

T3 N1
T1-3 N2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

esoph CA

SCC cIVA

A

T4a-T4b
N3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

esoph CA

cIVB (either SCC or adenoCA)

A

M1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

How is tumor grade used in esophageal CA p-staging?

A

substratifies T stage for T1a,T1b,T2 in adenoCA & for T1a,T2,T3 in SCC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

esoph CA

T-stage: confined to the epithelium

i.e. NOT through the basement membrane

A

Tis

= definition of high-grade dysplasia

https://drive.google.com/file/d/1HC1jAdUxITpbG7PY_yVDqhRF47PcnnvF/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

esoph CA

T-stage: invades lamina propria

into but not through

A

T1a

confined to the mucosa

https://drive.google.com/file/d/1HC1jAdUxITpbG7PY_yVDqhRF47PcnnvF/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

esoph CA

T-stage: invades muscularis mucosae

into but not through

A

T1a

confined to the mucosa

https://drive.google.com/file/d/1HC1jAdUxITpbG7PY_yVDqhRF47PcnnvF/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

esoph CA

T-stage: invades submucosa

into but not through

A

T1b

https://drive.google.com/file/d/1HC1jAdUxITpbG7PY_yVDqhRF47PcnnvF/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

esoph CA

T-stage: invades muscularis propria

into but not through

A

T2

https://drive.google.com/file/d/1HC1jAdUxITpbG7PY_yVDqhRF47PcnnvF/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

esoph CA

T-stage: invades adventitia

i.e. has escaped the esophagus

A

T3

https://drive.google.com/file/d/1HC1jAdUxITpbG7PY_yVDqhRF47PcnnvF/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

esoph CA

T-stage: invades adjacent structures

A

T4

subcategorized into T4a & T4b by resectability

https://drive.google.com/file/d/1HC1jAdUxITpbG7PY_yVDqhRF47PcnnvF/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

esoph CA

T-stage: invades pleura

A

T4a

https://drive.google.com/file/d/1HC1jAdUxITpbG7PY_yVDqhRF47PcnnvF/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

esoph CA

T-stage: invades pericardium

A

T4a

https://drive.google.com/file/d/1HC1jAdUxITpbG7PY_yVDqhRF47PcnnvF/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

esoph CA

T-stage: invades azygos vein

A

T4a

https://drive.google.com/file/d/1HC1jAdUxITpbG7PY_yVDqhRF47PcnnvF/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

esoph CA

T-stage: invades diaphragm

A

T4a

https://drive.google.com/file/d/1HC1jAdUxITpbG7PY_yVDqhRF47PcnnvF/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q

esoph CA

T-stage: invades peritoneum

A

T4a

https://drive.google.com/file/d/1HC1jAdUxITpbG7PY_yVDqhRF47PcnnvF/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
61
Q

esoph CA

T-stage: invades aorta

A

T4b

https://drive.google.com/file/d/1HC1jAdUxITpbG7PY_yVDqhRF47PcnnvF/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
62
Q

esoph CA

T-stage: invades vertebral body

A

T4b

https://drive.google.com/file/d/1HC1jAdUxITpbG7PY_yVDqhRF47PcnnvF/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
63
Q

esoph CA

T-stage: invades trachea

A

T4b

https://drive.google.com/file/d/1HC1jAdUxITpbG7PY_yVDqhRF47PcnnvF/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
64
Q

What layers of the esophageal wall comprise the mucosa?

in order from luminal outward

A

layers of the esophageal wall
(starting from internal lumen moving externally)
1. epithelium
2. basement membrane
3. lamina propria
4. muscularis mucosae
5. submucosa
6. muscularis propria (incl circular & longitudinal fiber layers)
7. [adventitia]

https://drive.google.com/file/d/1HC1jAdUxITpbG7PY_yVDqhRF47PcnnvF/view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
65
Q

What are the primary (big picture) layers of the esophageal wall?

in order from luminal outward

A

1. mucosa
2. submucosa
3. muscularis
layers of the esophageal wall
(starting from internal lumen moving externally)
1. epithelium
2. basement membrane
3. lamina propria
4. muscularis mucosae
5. submucosa
6. muscularis propria (incl circular & longitudinal fiber layers)
7. [adventitia]

https://drive.google.com/file/d/1HC1jAdUxITpbG7PY_yVDqhRF47PcnnvF/view

66
Q

esoph CA

N-stage: 1-2 LN+

any regional LN

67
Q

esoph CA

N-stage: 3-6 LN+

any regional LN

68
Q

esoph CA

N-stage: 7+ LN+

any regional LN

69
Q

esoph CA

L-stage: cervical esophagus to lower border of azygos vein

A

L-upper (for SCC)

70
Q

esoph CA

L-stage: lower border of azygos vein to lower border of IPV

IPV = inferior pulmonary vein

A

L-middle (for SCC)

71
Q

esoph CA

L-stage: lower border of IPV to stomach, incl GEJ

IPV = inferior pulmonary vein

A

L-lower (for SCC)

72
Q

Siewert class:
5cm prox to GEJ
to 1cm prox to GEJ

GEJ defined as Z-line

https://drive.google.com/file/d/197a9Fj0M2bSiCo0Fh4YgqYx7tK1bEgfg/view

73
Q

Siewert class:
1cm prox to GEJ
to 2cm dist to GEJ

GEJ defined as Z-line

https://drive.google.com/file/d/197a9Fj0M2bSiCo0Fh4YgqYx7tK1bEgfg/view

A

Siewert II

74
Q

Siewert class:
2cm dist to GEJ
to 5cm dist to GEJ

GEJ defined as Z-line

https://drive.google.com/file/d/197a9Fj0M2bSiCo0Fh4YgqYx7tK1bEgfg/view

A

Siewert III

tx as gastric CA

75
Q

15-20cmFI

region

A

cervical esophagus

= UES : sternal notch

https://drive.google.com/file/d/1HM9tm22JDxHLW5iGeVQm7r9SXZa_wyuT/view?usp=drive_fs

76
Q

UES : sternal notch

region

A

cervical esophagus

= 15-20cmFI

https://drive.google.com/file/d/1HM9tm22JDxHLW5iGeVQm7r9SXZa_wyuT/view?usp=drive_fs

77
Q

20-25cmFI

region

A

upper [thoracic] esophagus

= 20-25cmFI

https://drive.google.com/file/d/1HM9tm22JDxHLW5iGeVQm7r9SXZa_wyuT/view?usp=drive_fs

78
Q

sternal notch : azygos vein

region

A

upper [thoracic] esophagus

= sternal notch : azygos vein

https://drive.google.com/file/d/1HM9tm22JDxHLW5iGeVQm7r9SXZa_wyuT/view?usp=drive_fs

79
Q

azygos vein : IPV

region

A

middle [thoracic] esophagus

= 25-30cmFI

https://drive.google.com/file/d/1HM9tm22JDxHLW5iGeVQm7r9SXZa_wyuT/view?usp=drive_fs

80
Q

25-30cmFI

region

A

middle [thoracic] esophagus

= azygos vein : IPV

https://drive.google.com/file/d/1HM9tm22JDxHLW5iGeVQm7r9SXZa_wyuT/view?usp=drive_fs

81
Q

IPV : LES

region

A

distal [thoracic] esophagus

= 30-40cmFI

https://drive.google.com/file/d/1HM9tm22JDxHLW5iGeVQm7r9SXZa_wyuT/view?usp=drive_fs

82
Q

30-40cmFI

region

A

distal [thoracic] esophagus

= IPV : LES

https://drive.google.com/file/d/1HM9tm22JDxHLW5iGeVQm7r9SXZa_wyuT/view?usp=drive_fs

83
Q

esoph CA

SCC c-stage: T1 N0-1

84
Q

esoph CA

SCC c-stage: T1 N0

85
Q

esoph CA

SCC c-stage: T1 N1

86
Q

esoph CA

SCC c-stage: T2-3 N0

87
Q

esoph CA

SCC c-stage: T2 N1

88
Q

esoph CA

SCC c-stage: T2 N0

89
Q

esoph CA

SCC c-stage: T3 N0

90
Q

esoph CA

adenoCA c-stage: T1 N0

A

adenoCA cI
(T1 N0 is the only cI)

91
Q

esoph CA

adenoCA c-stage: T1 N1

A

adenoCA cIIA
(T1 N1 is the only cIIA)

note that N1 is not as bad as T2

92
Q

esoph CA

adenoCA c-stage: T2 N0

A

adenoCA cIIB
(T2 N0 is the only cIIB)

note that T2 is worse than N1

93
Q

esoph CA

adenoCA c-stage:
T3-4a N0

A

adenoCA cIII

94
Q

esoph CA

adenoCA c-stage:
T3 N0

A

adenoCA cIII

95
Q

esoph CA

adenoCA c-stage:
T4a N0

A

adenoCA cIII

96
Q

esoph CA

adenoCA c-stage:
T2-4a N1

A

adenoCA cIII

97
Q

esoph CA

adenoCA c-stage:
T2 N1

A

adenoCA cIII

98
Q

esoph CA

adenoCA c-stage:
T3 N1

A

adenoCA cIII

99
Q

esoph CA

adenoCA c-stage:
T4a N1

A

adenoCA cIII

100
Q

esoph CA

adenoCA c-stage: T3-4a N0

A

adenoCA cIII

101
Q

esoph CA

adenoCA c-stage: T3 N0

A

adenoCA cIII

102
Q

esoph CA

adenoCA c-stage: T4a N0

A

adenoCA cIII

103
Q

esoph CA

adenoCA c-stage:
T2-4a N1

A

adenoCA cIII

104
Q

esoph CA

minimum adenoCA c-stage: T4b

A

adenoCA cIVA

105
Q

esoph CA

adenoCA c-stage: N2

A

adenoCA cIVA

106
Q

esoph CA

adenoCA c-stage: N3

A

adenoCA cIVA

107
Q

esoph CA

adenoCA c-stage: M1

A

cIVB (either SCC or adenoCA)

108
Q

esoph CA

SCC c-stage: T3 N1-2

109
Q

esoph CA

SCC c-stage: T1-2 N2

110
Q

esoph CA

SCC c-stage: T4a-T4b N3

111
Q

esoph CA

SCC c-stage: M1

A

cIVB (either SCC or adenoCA)

112
Q

landmark @ 15cm

EGD distance (from incisors)

A

UES

https://drive.google.com/file/d/1HM9tm22JDxHLW5iGeVQm7r9SXZa_wyuT/view

113
Q

landmark @ 20cm

EGD distance (from incisors)

A

sternal notch

https://drive.google.com/file/d/1HM9tm22JDxHLW5iGeVQm7r9SXZa_wyuT/view

114
Q

landmark @ 25cm

EGD distance (from incisors)

A

azygos vein

also probably carina

https://drive.google.com/file/d/1HM9tm22JDxHLW5iGeVQm7r9SXZa_wyuT/view
SEER: 23-24cm https://training.seer.cancer.gov/ugi/anatomy/esophagus.html
by EUS: 25.7cm on average https://pubmed.ncbi.nlm.nih.gov/14570085/

115
Q

landmark @ 25cm

EGD distance (from incisors)

A

carina (23-26cm)

also azygos vein

https://drive.google.com/file/d/1HM9tm22JDxHLW5iGeVQm7r9SXZa_wyuT/view
SEER: 23-24cm https://training.seer.cancer.gov/ugi/anatomy/esophagus.html
by EUS: 25.7cm on average https://pubmed.ncbi.nlm.nih.gov/14570085/

116
Q

landmark @ 30cm

EGD distance (from incisors)

A

IPV

https://drive.google.com/file/d/1HM9tm22JDxHLW5iGeVQm7r9SXZa_wyuT/view

117
Q

landmark @ 40cm

EGD distance (from incisors)

A

LES

https://drive.google.com/file/d/1HM9tm22JDxHLW5iGeVQm7r9SXZa_wyuT/view

118
Q

landmark @ 40-42cm

EGD distance (from incisors)

A

GEJ

https://drive.google.com/file/d/1HM9tm22JDxHLW5iGeVQm7r9SXZa_wyuT/view

119
Q

esoph CA

minimum adenoCA c-stage: T2

A

adenoCA cIIB

120
Q

esoph CA

minimum adenoCA c-stage: T3

A

adenoCA cIII

121
Q

esoph CA

minimum adenoCA c-stage: N1

A

adenoCA cIIA

122
Q

esoph CA

minimum adenoCA c-stage: N2

A

adenoCA cIVA

123
Q

esoph CA

minimum adenoCA c-stage: T4b

A

adenoCA cIVA

124
Q

esoph CA

adenoCA I v II

differentiating stage criteria

A

T2 OR N1

T2 (N0) = IIB; (T1) N1 = IIA

125
Q

esoph CA

adenoCA IIA v IIB

differentiating stage criteria

A

N1 (IIA) v T2 (IIB)

(T1) N1 = IIA; T2 (N0) = IIB

126
Q

esoph CA

adenoCA IVA v IVB

differentiating stage criteria

A

M1 = IVB

same in SCC

127
Q

esoph CA

SCC IVA v IVB

differentiating stage criteria

A

M1 = IVB

same in adenoCA

128
Q

esoph CA

adenoCA II v III

differentiating stage criteria

A

T2 N0 OR T1 N1 v
T3 (N0) OR (T2-4a) N1

129
Q

esoph CA

adenoCA III v IVA

differentiating stage criteria

A

T4b OR N2+

130
Q

esoph CA

SCC III v IVA

differentiating stage criteria

A

T4a+ OR N3

131
Q

esoph CA

SCC I v II

differentiating stage criteria

A

T2-3 OR N1

T2-3 N0 & T2 N1

132
Q

esoph CA

SCC c-stage: T1 N1

A

cI

only N+ stage I

133
Q

esoph CA

SCC IIA v IIB

differentiating stage criteria

A

trick Q: NO substages

for SCC II; only SCC substages are for IV: IVA/IVB

134
Q

esoph CA

SCC II v III

differentiating stage criteria

A

T3 N1 OR <T4 N2

i.e. T3 N1 & T1-3 N2

135
Q

esoph CA

minimum adenoCA c-stage: T4a

A

adenoCA cIII

136
Q

esoph CA

minimum SCC c-stage: T4a

137
Q

esoph CA

minimum SCC c-stage: T2

138
Q

esoph CA

minimum SCC c-stage: T3

139
Q

esoph CA

minimum SCC c-stage: N1

140
Q

esoph CA

minimum SCC c-stage: N2

141
Q

esoph CA

minimum SCC c-stage: N3

142
Q

esoph CA

minimum adenoCA c-stage: N3

A

adenoCA cIVA

143
Q

esoph CA

adenoCA c-stage: Tis

A

adenoCA c0

144
Q

esoph CA

SCC c-stage: Tis

145
Q

esoph CA

risk of +N with T1a

146
Q

esoph CA

risk of +N with T1b

147
Q

esoph CA

risk of +N with T2

148
Q

esoph CA

risk of +N with T3

149
Q

esoph CA

indication for bronchoscopy as part of staging w/u (at time of esophagectomy)

A

+resp sx
upper & mid-esophageal (@ or above carina)
esp SCC

150
Q

EGD distance (from incisors) of:
carina

A

25cm (~23-26cm)

https://drive.google.com/file/d/1HM9tm22JDxHLW5iGeVQm7r9SXZa_wyuT/view
SEER: 23-24cm https://training.seer.cancer.gov/ugi/anatomy/esophagus.html
by EUS: 25.7cm on average https://pubmed.ncbi.nlm.nih.gov/14570085/

151
Q

NCCN recommended w/u for esophageal CA

A

EGD + bx
CT C/A/P with PO+IV contrast
PET-CT
Siewert classification
EUS ± EMR for staging T1a/T1b
± bronch if tumor @ or above carina
± lap staging/peritoneal washing for Siewert II

152
Q

NCCN recommended pathologic testing during w/u of esophageal CA

A

MSI testing by NGS or MMR IHC
PD-L1 testing for advanced
Her2 for metastatic adenoCA

153
Q

Do celiac axis nodes count as regional (i.e. non-metastatic) dz for esophageal CA?

154
Q

What are the regional (versus distant=metastatic) LN for esophageal CA?

A

all para/periesophageal LN from neck to celiac axis, incl:
paratracheal (cervical & thoracic)
level 7
9R/9L
L gastric
prox common hepatic artery
prox splenic artery
celiac artery down to base

(but NOT incl supraclav LN, which are not considered peri/para)

155
Q

EUS appearance of LN suspicious for esophageal CA involvement

A

enlarged, hypoechoic (dark), homogeneous, well-circumscribed, rounded structures
(confirm with FNA)

156
Q

indication(s) to consider laparoscopic staging incl peritoneal washing/cytology

A

cT3 or cN+

157
Q

How is ⊕peritoneal washing/cytology considered for esophageal CA staging?

158
Q

minimum # LN required for adequate oncologic resxn/staging of esophageal CA if NO induction chemoRT/neoadjuvant

159
Q

minimum # LN required for adequate oncologic resxn/staging of esophageal CA AFTER induction chemoRT/neoadjuvant

A

15 LNs
(actually unknown, but recommendation the same)

160
Q

procedure of peritoneal washing during staging laparoscopy for esophageal/GEJ CA without e/o macroscopic peritoneal dz

A

200mL saline @ RUQ, LUQ, pelvis (each), collected in Lukens trap
(UpToDate)

oral boards (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions